F/U after hernia surgery

hi,
need your help!!

here's the scenario. F/U after hernia surgery
HPI of the patient
Post-Op:
48 year old male presents with c/o Post-Op Check for for 2 weeks ventral hernia, Onset: insidious, Location: periumbilical, here post -op following up after surgical repair. Currently no complaints. Here for staple removal..
Denies : Wound Problems.
Drainage.
Fever.
Pain.
Nausea.
Vomiting.
Swelling.
Diabetes Mellitus:
c/o The patient is seen today in follow up of adult onset diabetes, new onset. Was placed on metformin after being discharged from the hospital. Uses medications daily aws recommended..
c/o Compared to last visit the diabetes has improved .
c/o The diet that the patient has been following is eats out a lot, no real diet.
c/o The patient exercises by none.
c/o Hypoglycemic episodes are none known.
Denies : The patient is complaining of.


Can we used CPT® 99214-54. And what other CPT® codes to used?
thanks,
rhina

re: F/U after hernia surgery

The post-op visit for hernia repair is included in global period (no charge). If the physician evaluates and manages the diabetes, it may be billed with appropriate E/M code (99212-99215) as documented for the diabetic condition. You must place modifier -24 on E/M code. A level 4 visit requires a detailed history and physical and moderate complexity MDM. The ICD-9 code would be from category 250.xx. The level of E/M must be documented and medically necessary.

re: F/U after hernia surgery

Modifier 54 is inappropriate for your scenario, and never used on an E/M code.

re: F/U after hernia surgery

Thank you...
How about the staple removal?

re: F/U after hernia surgery

Cannot bill separately included in global period.

re: F/U after hernia surgery

Thank you so much for the information ..
Merry christmas and advance happy new year